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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />,. <br /> <br />:' <br /> <br />ff 0 (3 eff P ;(~el( <br />ADDRESS II:J/f /) f+.R <!- V A-j FT ~y t: 1i' ~ <br />Pa fA.. 1r ~ /}J p n 1/ <br />. <br /> <br />JOB LOCATION 3 Jit."f. ~ Av <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />APPLICANT <br /> <br />f [, PHONE <br /> <br />,vi!I-? t 0 () <br /> <br />OWNER <br /> <br />LOT SIZE <br /> <br />X AREA SQ. FT. <br /> <br />~,;~ elf!-< 1, <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~t <br /> <br />3"....- '1-r-:;../ - tJOJ....A -- () o~" () ,,09/6 <br /> <br />WORK PROPOSED:____New Construction -^ddition -^lteration 1-Repair _Install <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: _Single Family ~/F _~t of Uni ts _M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />----Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br />.2 "39~. j! <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~ECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />... <br /> <br />GAS ' <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />SilZnature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ET.ECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLlJMRER <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />fi I ~/fpae () tj ~~ <br />I <br /> <br />Company A Iff '--" IV 1R 6 L <br />. <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />_S' / t.J <br />c Ac- t? .~/J,t-'f L <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. i~ e..,fot: tJ ~'J ~~'/( <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />